Consent Protocol

The purpose of this protocol is to set out the practice’s approach to consent and the way in which the principles of consent will be put into practice. Where possible, a clinician must be satisfied that a patient understands and consents to a proposed treatment, immunisations or investigation.

Implied Consent:

Implied consent will be assumed for many routine physical contacts with patients. Where implied consent is to be assumed by the clinician, in all cases, the following will apply: an explanation will be given to the patient about what he/she is about to do and why. In all cases where the patient is under 18 years of age, a verbal confirmation of consent will be obtained and briefly entered into the medical record. Where there is a significant risk to the patient an ‘Expressed Consent’ will be obtained in all cases (see below).

Expressed Consent :

Expressed consent (written or verbal) will be obtained for any procedure that carries a risk that the patient is likely to consider a substantial risk. A note will be made in the medical record detailing the discussion about the consent and the risks. A consent form may be used for the patient to express consent (see below).

Obtaining Consent:

Consent (implied or expressed) will be obtained prior to the procedure. The clinician will ensure that the patient is competent to provide a consent (16 years or over) or has ‘Gillick Competence’ if under 16 years (has ‘sufficient understanding and maturity to enable them to understand fully what is proposed’). For children under 16 years, someone with parental responsibility should give consent on the child’s behalf by signing accordingly on the consent form.

Helping you to manage your health

Who do I see?

For information on how best to be seen at the Surgery, select the service or condition you require.

Abdominal Pain

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Acute Asthma

Who to see: GP or Respiratory Nurse

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Anxiety

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Back Pain

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Blood Pressure Monitoring

Who to see: Nurse or GP

Advice: The Nurses also consult the GPs as necessary.

Blood Tests

Who to see: Nurse

Advice: If blood test is regular, please make appointment with Nurse. If you would like to discuss having new blood tests please make appointment with GP.

Cystitis

Dental Problems

Advice: Please book an appointment with your dentist, or find a Dentist service via NHS: www.nhs.uk

Depression & Anxiety

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Diabetes Monitoring

Who to see: Nurse or GP

Advice: Routine annual clinic appointments will be sent to all our patients with diabetes. Patients are encouraged to book an appointment with our diabetes specialist nurse or their GP if they have any concerns at any other time and not to wait for their annual review.

Diarrhoea

Who to see: GP or Pharmacy

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Diet/Lifestyle Changes

Dizziness

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Ear Care

Who to see: Nurse

Advice: If you think you may need ear irrigation ('syringing' )please speak to one of our nurses who will advise you. Also please check the following information Find out more at: NHS Earwax Information.

Earache

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Eczema

Who to see: Nurse

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Emergency Contraception

Who to see: Nurse or Doctor

Advice: Make an urgent appointment with the nurse or doctor. Please explain to the receptionist that the appointment is urgent and they will do their best to fit you in.

Eye Infection

Who to see: Nurse

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Eye Injuries

Who to see: Nurse

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Fit Note (Sick Note)

Who to see: Inform the Receptionist

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Flu Illness

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Forms, Certificates and Medicals

Who to see: Inform the Receptionist

Advice: Completion of forms, certificates and medicals are not covered under the NHS. You will be charged for these services. Please discuss your requirements with our reception team. Examples are Passport forms, insurance reports, HGV medicals, holiday cancellation forms.

Fungal Infections

Who to see: GP or Pharmacy

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

General Advice

Who to see: GP

Advice: For general advice please ring to book a Telephone Consultation, you will be asked to give the phone number you want to be contacted on and given an approximate time to expect the call, please be available at that time and if using a mobile please ensure it is switched on.

Genital Herpes

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Hay Fever

Who to see: Pharmacy or GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Head Injuries

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Head Lice

Headaches

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Holiday Cancellation Certificates

Who to see: Inform the Receptionist

Advice: Holiday Cancellation forms are not covered by the NHS, there will be a charge for this service. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery. We ask that you allow up to 21 days for the process to be completed, you will be contacted by phone when your form is ready for collection.

Hyperventilation

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Indigestion

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Infected Wounds

Who to see: GP or Nurse

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Ingrowing Toenail

Who to see: GP or Podiatry

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Insect Bites

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Insomnia

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Insurance Reports

Who to see: Inform the Receptionist

Advice: Completion of forms, certificates and medicals are not covered under the NHS. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery. We ask that you allow up to 21 days for the process to be completed, you will be contacted by phone when your form is ready for collection.

Medical Reports

Who to see: Inform the Receptionist

Advice: Completion of forms, certificates and medicals are not covered under the NHS. Please read the form carefully and fill in and sign any parts that you need to complete before you bring the form to the surgery. We ask that you allow up to 21 days for the process to be completed, you will be contacted by phone when your form is ready for collection.

Missed Contraceptive

Who to see: GP or Specialist Nurse

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Moles

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Mouth Problems

Who to see: GP or Dentist

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Nappy Rash

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Neck Pain

Who to see: GP or Pharmacy

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Nosebleeds

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Panic Attacks

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Passport Forms

Who to see: This surgery does not provide this service

Advice: This surgery does not provide this service, consult passport website for more information

Period Problems

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Phobias

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Rashes

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Rectal Problems

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Removal of Stitches

Who to see: Nurse

Advice: Make an appointment with one of our Nurses or health care assistants.

Shingles

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Sick Certificates

Who to see: Inform the Receptionist

Advice: Telephone to speak to our reception team. You will be required to give them your exact requirements. They are likely to ask you to make an appointment for a certificate for a medical condition of which we are unaware.

Sick Note (Fit Note)

Who to see: Inform the Receptionist

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Sinusitis

Who to see: GP or Pharmacy

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Skin Conditions

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Smoking Cessation

Who to see: Nurse

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment. If you would like help sooner please visit: www.nhs.uk/smokefree and Quit Now!

Sore Eyes

Who to see: GP, Pharmacy or Optometrist

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Sore Penis

Who to see: GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Sore Throat

Who to see: GP or Pharmacy

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Stings

Who to see: GP or Pharmacy

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Styes

Who to see: GP or Optometrist

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Sunburn

Who to see: Pharmacy or GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Threadworm

Who to see: Pharmacy or GP

Advice: Please contact reception on 01225 484748 in the usual way to make an appointment.

Travel Vaccinations

Who to see: Nurse

Advice: Please ask reception for travel form on 01225 484748 and complete prior to making an appointment with Specialist Nurse.